Spine Vision – X-Ray Image based GUI Planning of Pedicle Screws Using Enhanced YOLOv5 for Vertebrae Segmentation

In this paper, we propose an innovative Graphical User Interface (GUI) aimed at improving preoperative planning and intra-operative guidance for precise spinal screw placement through vertebrae segmentation. The methodology encompasses both front-end and back-end computations. The front end comprises a GUI that allows surgeons to precisely adjust the placement of screws on X-Ray images, thereby improving the simulation of surgical screw insertion in the patient’s spine. On the other hand, the back-end processing involves several steps, including acquiring spinal X-ray images, performing pre-processing techniques to reduce noise, and training a neural network model to achieve real-time segmentation of the vertebrae. The integration of vertebral segmentation in the GUI ensures precise screw placement, reducing complications like nerve injury and ultimately improving surgical outcomes. The Spine-Vision provides a comprehensive solution with innovative features like synchronous AP-LP planning, accurate screw positioning via vertebrae segmentation, effective screw visualization, and dynamic position adjustments. This X-ray image-based GUI workflow emerges as a valuable tool, enhancing precision and safety in spinal screw placement and planning procedures.